Showing posts with label Marijuana. Show all posts
Showing posts with label Marijuana. Show all posts

Monday, September 25, 2017

Maryland's Medical Marijuana Laws a Mine Field for Physicians


             Maryland’s Medical Marijuana Laws a Mine Field for Physicians





One question physicians should ask themselves is: What civil and criminal penalties may I incur in the event I prescribe Marijuana? Neither Maryland’s inept and corrupt Medical Board nor its self-serving Medical Society have issued any statements concerning potential penalties. House Bill 881 signed by Governor Martin O’Malley in April of 2014 required the Department of Health and Mental Hygiene and its Marijuana Commission to derive regulations governing the dispensing of medical Marijuana. Recently directives have been released concerning physician involvement in procuring Marijuana for potential patients. Physician liability was not addressed by these rules or prior statue. Worse, Marijuana is listed as a Schedule 1 substance along with Heroin, LSD and other potential abusive drugs. Under federal rules prescribing Marijuana is a felony unless given prior dispensation by authorities. In recent times federal prosecutors have turned away from charging physicians with Marijuana law incursions if their respective states legalized it. This could change at a moment’s notice. Maryland physicians who become involved in accommodating patients seeking “medical Marijuana” run many risks for few rewards.



Physicians will have to move through multi levels of paperwork to be allowed the privilege to certify individuals to obtain “medical Marijuana.” An unrestricted active medical license and a spotless record of compliance with state regulatory structure is a must. Being politically well connected, similar to those chosen to be dispensers of this drug, would not hurt either. Physicians contemplating being listed for medical Marijuana certification should review all available literature issued by state authorities with particular emphasis on any statements by the Attorney General’s Office and the Medical Board.



Maryland Board of Physicians has a habit of inventing rules and standards care after the fact. Never proactive this Board cherry picks which sections of its legal Title it will follow depending upon who is before it. With a lawyer as the Executive head of this administrative entity expectations were the Board would have created guidelines for implementing House Bill 881, since it had 3 years. Without protections from civil and criminal penalties lawyers will have a literal field day prosecuting cases. Worse incorrectly certifying a patient or a patient who crashes a vehicle, with this Schedule One drug in his or her system, the physician’s liability may be substantial. Point is prescribing Marijuana could be entrapment for physicians.



Lastly does malpractice insurance cover prescribing of Schedule One drugs and the resulting detriment this drug could cause to a patient? Approximately 23 states have legalized Marijuana in some form or manner. Each state manages the legalities and judicial responses to this psycho active drug differently. Maryland’s Board of Physicians is not managed as it should. Control has been given over to lawyers with minimal input from physicians. The unpredictability of this Board’s actions, lacking specific written guidelines and standards for physician involvement with this highly potent drug, may not be worth the risk for health care providers.



The author of this article cautions physicians to be wary of signing on to prescribing Marijuana until such time as the civil and criminal liabilities have been “totally clarified.” Maryland’s Board of Physicians and its attack dog the Attorney General’s Office will quickly blame doctors, not themselves, for prescribing mishaps related to Marijuana, even though they have promulgated no rules as of this writing. In the event you want to learn how corrupt your medical board is read a few of the articles at: medicalboardusa.com.



Mark Davis MD


medicalboardusa.com

onandoffthehill.com

Monday, September 18, 2017

Drugged Up Maryland


                                             Drugged Up Maryland



Drugs have found their way into every facet of Maryland life. Children are overdosed with amphetamines. While our aged population is controlled by third generation antidepressants. Those in between have alcohol, opioids, psychotropic drugs and now Marijuana. Controlling the masses has never been easier.

Marijuana industry is coming to the entitlement state. Initially 14 licensees have been chosen from a group of 140. Though the state’s Marijuana Commission notes the newly licensed were carefully picked evidence suggests many are politically well connected. Claiming “Medical Marijuana” will be of the purest variety by their choices the Commission needs to explain why not one pharmaceutical company was chosen. Yet someone from the casino industry was.

Decriminalization of Marijuana at the state level has been on the road to reality for years. In Maryland the drug epidemic, both legal and illegal, has gone beyond manageable levels. Adding Marijuana to the mix elevates the problem exponentially. As long as the drug is used in the privacy of one’s home who is to argue with its need and questionable medical necessity. Sense and sensibility dictates the latter will not be the norm. Instead people will mix Marijuana with the other drugs they utilize, including alcohol, resulting an increase in fatalities more expansive than currently is seen. Decriminalization absolutely, providing this drug through state approved outlets is extremely questionable and introduces a series of unknowns.

Physicians, who chose to prescribe Marijuana, must be on a state approved list. Once approved they must certify medical necessity to the patients seeking this drug. After approval the patient can take his or her Marijuana Identification card to a dispensary and receive a limited amount of this drug. Knowing most of the prescribed drug is not going to be used for its medically intended purpose who will be held responsible when irrationality of its use enters the picture? Will physicians be held responsible when a vehicular crash occurs by someone with excess drug in their systems (presently blood level excess has not been set)? If a physician approves too many requests will his or her license be impaired?  And the list of unknowns goes on.

Maryland Legislature pays lip service to those whose minds and bodies have been crushed by the never ending supply of drugs consumed by its residents. Marijuana should never have been criminalized. With that stated drug sales should not be supported by state mandate either. Enter a busy emergency and watch as the bodies of drug victims roll in. Marijuana may not be nearly as toxic as opioids. When combined with alcohol or other deadly substances bad results are inevitable. Does this reporter have the answers, no I don’t. Nevertheless neither does the Maryland hierarchy. I hope and pray that I am wrong. Yet experience outside Maryland should have taught those in power something. Apparently it hasn’t.

Mark Davis MD


onandoffthehill.com

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